Get the free Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)
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This document serves as a prior authorization request for the medication Kalydeco (ivacaftor) for patients with Cystic Fibrosis, ensuring that necessary criteria and documentation are met before approval.
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How to fill out caterpillar prescription drug benefit
How to fill out Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)
01
Obtain a copy of the Caterpillar Prescription Drug Benefit Prior Authorization request form.
02
Fill out the patient information section with the patient's full name, date of birth, and insurance details.
03
Provide information about the prescribing physician, including their name, contact information, and NPI number.
04
Indicate the medical necessity for Kalydeco (ivacaftor) by detailing the patient's diagnosis and any previous treatments that have been tried.
05
Include supporting documentation, such as lab results or clinical notes that demonstrate the need for Kalydeco.
06
Review the completed form for accuracy and ensure that all required signatures are obtained.
07
Submit the completed Prior Authorization request to the appropriate address or fax number as specified by Caterpillar.
Who needs Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
01
Patients diagnosed with cystic fibrosis who have specific mutations in the CFTR gene that are responsive to treatment with Kalydeco (ivacaftor).
02
Healthcare providers seeking coverage for their patients who meet the clinical criteria for Kalydeco treatment.
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Who is eligible for ivacaftor?
What is KALYDECO® (ivacaftor)? KALYDECO is a prescription medicine used for the treatment of cystic fibrosis (CF) in people aged 1 month and older who have at least one mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene that is responsive to KALYDECO.
Who can take kalydeco?
KALYDECO is for people with cystic fibrosis (CF) age 1 month and older with at least one CF gene mutation that is responsive to KALYDECO. Enter your or your loved one's mutations to see if at least one of them is eligible.
What class of drug is Kalydeco?
A first-in-class CFTR potentiator, ivacaftor works by prolonging the time that activated CFTR channels remain open, thereby enhancing the regulation of chloride and water transport across cell membranes.
What is the indication of lumacaftor?
Description. Lumacaftor and ivacaftor combination is used to treat cystic fibrosis (CF) in patients 1 year of age and older. It is only used for patients who have two copies of F508del mutation in their CF transmembrane conductance regulator (CFTR) gene.
What is the indication for Ivacaftor?
Ivacaftor is currently indicated for the treatment of CF in patients age 6 years and older who have a G551D mutation in the CFTR gene. CF is an autosomal recessive disease with serious, chronically debilitating morbidities and high premature mortality and no cure is available at present.
What is ivacaftor used for?
Ivacaftor is used to treat certain types of cystic fibrosis (an inborn disease that causes problems with breathing, digestion, and reproduction) in adults and children 1 month of age and older.
What are the indications for Trikafta?
INDICATIONS AND USAGE TRIKAFTA is indicated for the treatment of cystic fibrosis (CF) in patients aged 12 years and older who have at least one F508del mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene.
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What is Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA for KALYDECO (ivacaftor) refers to the specific guidelines and requirements that must be met for a patient to obtain prior authorization for this medication, typically for treating cystic fibrosis in patients with specific genetic mutations.
Who is required to file Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
Patients or healthcare providers seeking coverage for KALYDECO (ivacaftor) under the Caterpillar Prescription Drug Benefit are required to file the prior authorization criteria.
How to fill out Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
To fill out the prior authorization form for KALYDECO (ivacaftor), the healthcare provider must provide patient information, diagnosis details, previous treatments tried, and any relevant medical records supporting the need for the medication.
What is the purpose of Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
The purpose of the prior authorization criteria for KALYDECO (ivacaftor) is to ensure that the medication is being prescribed in accordance with clinical guidelines and that it is medically necessary for the patient's condition.
What information must be reported on Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIA- KALYDECO (ivacaftor)?
The information that must be reported includes patient demographics, specific diagnosis, genetic testing results, details of previous treatments attempted, and the rationale for prescribing KALYDECO (ivacaftor).
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